Credentialing Navigator

Ascension Executive Recruitment

Credentialing Navigator managing provider credentialing and re-credentialing for healthcare professionals. Ensuring compliance with federal, state, and NCQA standards while maintaining efficient operations.

Posted 7/21/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $25 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider credentialing and re-credentialing processes, ensuring compliance with federal, state, and NCQA standards. Proficient in using credentialing software and Excel for accurate data management and reporting.

Highest-signal resume keywords

Provider CredentialingCredentialing Software (MD Staff)Data Entry AccuracyCustomer ServiceCompliance with Accreditation Standards

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Credentialing ManagementData ReportingLicensing VerificationApplication ProcessingExcel Proficiency

Soft Skills

Attention to DetailCommunication Skills

Tools & Technologies

MD Staff

Certifications & Qualifications

Professional Licensure/Certification

Industry Keywords

NCQA StandardsHealthcare ComplianceMedical Staff CredentialingAccreditation Requirements

About the role

Key responsibilities & impact

Managing provider credentialing & re-credentialing, ensuring efficient operations and maintaining current staff data
Ensures healthcare professionals and services meet federal, state, and NCQA standards; verifies professional licensing, training, and certifications
Prepares and maintains reports of credentialing activities
Coordinates medical staff appointments, processes applications/licensing, and manages the provider credentialing process, facilitating communication across departments and administration
Ensures compliance with accreditation and legal requirements for medical staff
Contacts medical offices, licensing agencies, and insurance carriers to complete credentialing and re-credentialing
Tracks and reports credentialing performance measures

Requirements

What you’ll need

High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
Required professional licensure/certification can be used in lieu of education or experience, if applicable
Experienced in credentialing software (preferably MD Staff)
Ability to use Excel proficiently
Strong skill-sets to focus on details of data and enter accurately
Majority of day is utilizing software and inputting data
Must be able to focus on customer service when talking to credentialed practitioners on phone
3+ years of experience

Benefits

Comp & perks

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community